| Autor: |
Masala, Salvatore, Fiori, Roberto, Raguso, Mario, Ojango, Christine, Morini, Marco, Cuzzolino, Alessandro, Calabria, Eros, Simonetti, Giovanni |
| Předmět: |
|
| Zdroj: |
Journal of Sport Rehabilitation; May2017, Vol. 26 Issue 3, p227-233, 7p, 2 Color Photographs, 3 Charts, 2 Graphs |
| Abstrakt: |
Context: Chronic pubalgia affects around 10% of athletes. Objective: To determine the role of pulse-dose radiofrequency (PDRF) in athletes with chronic pubalgia and investigate the causes with imaging. Design: Prospective nonrandomized single-group study. Patients: PDRF was performed on 32 patients with a chronic pain that had been refractory to conservative therapies during the last 3 mo. Intervention: The genital branches of the genitofemoral, ilioinguinal, and iliohypogastric nerves and the obturator nerve were the goals of treatment. A 10-cm, 20-gauge cannula was inserted with a percutaneous access on the upper and lower edges of the iliopubic branch. After the spindle was removed, a radiofrequency needle with a 10-mm "active tip" was inserted. The radiofrequency technique was performed with 1200 pulses at 45 V and 20-ms duration, followed by a 480-ms silent phase. Main Outcome Measure: The follow-up with a clinical examination was performed at 1, 3, 6, and 9 mo after the procedure. During the follow-up visits, the patients were asked to rate their pain on a 0-10 VAS scale. Results: All of the enrolled patients completed the study. Mean VAS score before the treatment was 8.4 ± 0.6. Twenty-four patients had a reduction of pain VAS scores more than 50% during all follow-up visits and started training and physiotherapy in the days after the radiofrequency procedure. Six patients, each treated 2 times, had a reduction more than 50% of VAS scores and could start training and physiotherapy only after the 2nd procedure. One patient had no pain relief with 2 treatments. Pain intensity decreased up to 9 mo in 31 patients (mean VAS scores 3.4 ± 0.5 at 6 mo and 3.8 ± 0.9 at 9 mo). No complications were observed. Conclusions: PDRF is an effective and safe technique in management of chronic pubalgia in athletes. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
|
